Organization Active NPI

Advanced Kidney Care Inc

  • Nephrology Physician
  • Oxon Hill, MD
National Provider Identifier
1952632838
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D68186 Issued in MD
Legal business name
ADVANCED KIDNEY CARE INC
Practice address
6357 Oxon Hill Rd
Suite:100
Oxon Hill, MD 20745-2214
Phone
(301) 220-0435
Fax
(301) 220-0412
NPI assigned
Jan 16, 2010
Last updated
Apr 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mohammed Youshauddin, M.D., FASNNPI 1396951802
Title
Nephrologist
Phone
(301) 789-5381

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X D68186 MD Primary

Addresses

Primary practice location

6357 Oxon Hill Rd
Suite:100
Oxon Hill, MD 20745-2214

Mailing address

6341 Dunn CT
Springfield, VA 22150-7840
Phone (301) 789-5381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100429000170 DC Part B Supplier - Clinic/Group Practice 4587791264 Receives reassigned benefits from 1 practitioner
Practice locations: Lanham, MD; Oxon Hill, MD

National Provider Directory

National Provider Directory

Locations

9801 Greenbelt Rd
Ste 208
Lanham, MD 20706
Phone (301) 220-0435

6357 Oxon Hill Rd
Ste 100
Oxon Hill, MD 20745
Phone (301) 220-0435

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1952632838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6341 DUNN CT",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221507840",
            "telephone_number": "301-789-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6357 OXON HILL RD",
            "address_2": "SUITE:100",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207452214",
            "telephone_number": "301-220-0435",
            "fax_number": "301-220-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED KIDNEY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-16",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "YOUSHAUDDIN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "NEPHROLOGIST",
        "authorized_official_telephone_number": "301-789-5381",
        "authorized_official_credential": "M.D., FASN"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D68186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.